EMS 114 FOTS Exam

Reactionary Gap

21 feet-1 mile depending if that attacker has a certain weapon.

How many deaths occurred because of medication errors?

7000

Excited Delirium

A condition in which patients have an increased sympathetic response in may become agitated, violent, combative, and paranoid; they may present with psychotic behaviors and may also have hallucinations, have an increase in strength, and become insensitive to pain or self-inflicted injuries.

Tapering

A method to gradually direct traffic flow into an unexpected lane.

Traffic incident management (TIM)

A plan pre-planning document created with the input of all emergency responding agencies, from law-enforcement to fire to EMS to towing to work together to maintain seen safety, care for and safely extract patients from the scene, and clear the scene as efficiently and safely as possible.

Defense Stance

A position that creates a non-threatening, non-aggressive appearance. The EMS practitioner stands with hands up in palms forward an open position, keep the elbows in an angle in the body 45° to the patient.

Crew Resource Management (CRM)

A tour originally instituted by the airline industry in the 1980s to optimize performance and outcomes by reducing the effect of human error through the use of all available resources.

AEIOU TIPS

Alcohol/acidosis, epilepsy, insulin, overdose, uremia, trauma, infection, pyshoses, stroke

Post traumatic growth (PTG)

An emerging field of study that demonstrates that survivors of trauma can actually grow and become better people through their willingness to build from traumas they have confronted.

Concealment

An object that hides a person from view but does not protect him or her from projectiles or a potential attacker.

Coherence

Associated with how well the receiver understand the message. When the truth of a situation aligns with words spoken by the sender.

What injury has been a high call for EMS workers?

Back injuries

Challenge

Challenge the suitability of a current action or strategy if the probe and alert do not appear to be changing the course of action

-Ambiguous statements or situations. -Implementing an improper procedure or not following a good one. -Failure to deal with distraction -Fixation on a single object -Complacency -Failure to resolve or properly manage conflict or conflicting conditions -Task overload

Common factors that lead to distraction or loss of situational awareness

Humanware

Component consisted of those people who are part of a team and have been directed to solve a particular problem.

Advocacy

Does little to actually describe the process that occurs when a team member feels a disconnect with something he or she has heard or seen in inquiry phase

The Six Ds

Drunk Drugged Diabetic (chemical imbalance) Deranged Domestic Desperate

Eustress vs. Distress

Eustress: Short term stress that is positive and beneficial Distress: A disruption of a persons physiological balance that can overwhelm him or her physically and mentally.

Exercise guidelines for EMS

Five basic movement patterns at least two days per week Moderate intensity cardio respiratory physical activity such as walking 150 minutes a week Perform 75 minutes of intense physical activity such as running.

Probe

For better understanding (the sense making process)

Assessment "L" formation

Formation that permits one MS practitioner to address the patient from the front in another EMS practitioner to remain at the patient side, performing patient care. If the patient attacks, this formation provides a second EMS practitioner enough time to escape and call for help.

Where is the best/safest place to assess patient?

From the doorway

Emergency intervention

If there is critical danger and team continues on a course that will cause harm.

Software

Implementation can be rewriting training manuals or procedures or developing checklist and policies.

Siren syndrome

In which an emergency vehicle operator begins to drive aggressively when the siren switches on.

What is the first step in the CRM circle of successful communication?

Inquiry

Should a parent be allowed to hold a child during transport?

NO

High Reliability Organizations (HROs)

Organizations that operate in high risk environments such as those associated with law-enforcement, fire and EMS, power and utilities, Chemical factories, and air traffic control.

One method that can help all EMS practitioners practice advocacy:

PACE -Probe -Alert -Challenge -Emergency Intervention

What number of factors come into play when using an air ambulance?

Patient status, the distance to most appropriate facility, and protocol.

Cachetic

Possessiing an appearance of wasting away; usually associated with poor nutrition or disease.

Part of caring for a bariatric patient is what?

Protecting their dignity and treating them in a nonjudgemental fashion

Most crashes in MVC are what?

Side impact in mirror to mirror Location is mainly on intersections

Hardware

Solutions that can take the form of the use of computers, vehicles, tools, medication, or protective equipment.

What is the most important factor in the severity of an MVC?

Speed

Conspicuity

The ability of a vehicle to draw the attention of other drivers.

Surveying stance

The body posture to take when diffusing a stressful patient encounter. The body is slightly at an angle, with hands above the waste and out of the pockets, arms neutral, and knee slightly bent with the weight on the balls of the feet.

Proper child restraint safety systems are based on what?

The child size and weight

Due Regard

The idea that the operator driving in the emergency mode should give regard and attention to everyone else sharing the road.

Alert

The leader to any concerns or abnormalities

Situational Awareness

The state of being aware of what is happening in order to understand how information, events, and a persons actions will affect his or her goals and objectives.

Rate of closure

The time it takes to close the distance between the ambulance and another vehicle, relative to the speeds of both vehicles.

Incident Command System (ICS)

This system is used during both emergency incidences as well as preplanned events to help identify incident needs and priorities by identifying roles and responsibilities, outline clear lines of communication, limiting spam of control, and providing method for expanding the incident.

Safe patient movement behaviors

Those actions selected by the EMS practitioner that minimize the risk of injury to patients, practitioners, and bystanders during patient movement events.

How many distractions increase the risk of collisions?

Three: Visual Distractions Manual Distractions Cognitive Distractions

What is the main job of EMS?

Transfer patients

Microsleep

When the mind ceases to be aware of its surroundings in the eyes may close for a short period; it may last for a few seconds to a few minutes.